| NPI | 1194036269 |
|---|---|
| Former Name | AMELIA ELISABETH CANRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA222049) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003759) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2024-10-28 |